DIMITRI DE KOUCHKOVSKY MD-PHD
NPI 1851977292
Dermatology in Oceanside, CA

Q: What is Dimitri De Kouchkovsky's NPI number?

The NPI number for Dimitri De Kouchkovsky is 1851977292. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Dimitri De Kouchkovsky's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment

3613 VISTA WAY, OCEANSIDE, CA 92056(760) 758-5340 Get Directions Write a Review

NPPES record last updated: January 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 1, 2026, Jul 13, 2022, Mar 23, 2021 (3 updates tracked since 2021).

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About Dimitri De Kouchkovsky Md-phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIMITRI DE KOUCHKOVSKY MD-PHD (NPI 1851977292) is an individual dermatology provider in Oceanside, California, licensed in California (A181607) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2021).

NPPES Registry Identity

NPI1851977292

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDIMITRI DE KOUCHKOVSKYCredential: MD-PHD

Location Address3613 VISTA WAYOceanside, CA 92056-4522

Mailing Address3613 Vista WayOceanside, CA 92056-4522

Phone(760) 758-5340

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateJanuary 1, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 1, 2026

✔ NPI 1851977292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · A181607

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3613 VISTA WAY, Oceanside, CA 92056

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dimitri De Kouchkovsky Md-phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345768198

PECOS Enrollment IDI20250515002970

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT SCHEINBERG MD

Dermatology (MOHS-Micrographic Surgery)